ABSTRACT
BACKGROUND/AIM: Sleep quality exerts an influence on attention level and motor skills and is associated with accidental injuries in children. The aim of this study was to evaluate the association between traumatic dental injury and sleep behaviour in children. MATERIAL AND METHODS: A cross-sectional study was conducted in a small city in southern Brazil with a representative sample of schoolchildren aged 8-10 years (n = 537). Weight and height were measured, and examinations were performed for the determination of clinical occlusion and traumatic dental injury. The parents answered the Sleep Behaviour Questionnaire and questions addressing socio-demographic characteristics. RESULTS: The prevalence of traumatic dental injury was 22% (95% CI: 19-26) and was higher among children who woke three to four times per night (PR = 3.30; 95% CI: 2.47-4.39), those who fell asleep in the parental bed (PR = 1.41; 95% CI: 1.09-1.83), those who were not in a good mood on waking up in the morning (PR = 1.30; 95% CI: 1.02-1.65), those who became sleepy while sitting and/or studying (PR = 1.57; 95% CI: 1.09-2.24) and while watching TV (PR = 1.41; 95% CI: 1.0005-1.97) and those who had bad dreams (PR = 1.35; 95% CI: 1.04-1.76). The Poisson multiple regression model with a multilevel approach revealed that the prevalence of traumatic dental injury was 1.51-fold higher among children with daytime drowsiness (PR = 1.51; 95% CI: 1.11-2.04) after adjusting for socio-demographic, occlusal and anthropometric variables. CONCLUSION: Sleep problems were associated with a higher prevalence of traumatic dental injury among the children analysed.
Subject(s)
Sleep Wake Disorders/complications , Tooth Injuries/epidemiology , Brazil/epidemiology , Child , Cross-Sectional Studies , Female , Humans , Male , Prevalence , Risk Factors , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
OBJECTIVE: The aim of the present study was to translate, perform the cross-cultural adaptation of the Rapid Estimate of Adult Literacy in Dentistry to Brazilian-Portuguese language and test the reliability and validity of this version. METHODS: After translation and cross-cultural adaptation, interviews were conducted with 258 parents/caregivers of children in treatment at the pediatric dentistry clinics and health units in Curitiba, Brazil. To test the instrument's validity, the scores of Brazilian Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) were compared based on occupation, monthly household income, educational attainment, general literacy, use of dental services and three dental outcomes. RESULTS: The BREALD-30 demonstrated good internal reliability. Cronbach's alpha ranged from 0.88 to 0.89 when words were deleted individually. The analysis of test-retest reliability revealed excellent reproducibility (intraclass correlation coefficient = 0.983 and Kappa coefficient ranging from moderate to nearly perfect). In the bivariate analysis, BREALD-30 scores were significantly correlated with the level of general literacy (rs = 0.593) and income (rs = 0.327) and significantly associated with occupation, educational attainment, use of dental services, self-rated oral health and the respondent's perception regarding his/her child's oral health. However, only the association between the BREALD-30 score and the respondent's perception regarding his/her child's oral health remained significant in the multivariate analysis. CONCLUSION: The BREALD-30 demonstrated satisfactory psychometric properties and is therefore applicable to adults in Brazil.
Subject(s)
Dentistry/methods , Literacy , Surveys and Questionnaires/standards , Translations , Adult , Brazil , Child , Child, Preschool , Cross-Cultural Comparison , Dental Health Surveys/methods , Dental Health Surveys/standards , Female , Humans , Infant , Language , Male , Middle Aged , Poisson Distribution , Regression Analysis , Reproducibility of Results , Young AdultABSTRACT
BACKGROUND: In the present state of knowledge regarding the etiology of dental caries, it is unacceptable for studies addressing factors associated with this outcome to disregard oral hygiene. Simple, valid methods are needed for the assessment of oral hygiene in adolescents to allow this condition to be properly investigated in epidemiological studies on caries and assist in the establishment of health promotion measures. The aim of the present study was to test the hypothesis that the self-reported toothbrushing frequency can be used as a proxy measure for clinical oral hygiene indices in epidemiological studies on dental caries in adolescents. METHODS: A cross-sectional study was conducted with a representative sample (n = 589) of 12-year-old school children in a medium-sized city in southern Brazil. A detailed questionnaire addressing socio-demographic and economic characteristics was sent to primary caregivers. Adolescents answered a brief self-administered questionnaire on behavioral characteristics, including toothbrushing frequency and sugar intake. Samples of stimulated saliva were collected from the adolescents and evaluated for levels of mutans streptococci and lactobacilli using Dentacult kits I and II, respectively. Examiners who had undergone a training and calibration exercise (kappa > 0.81) performed the clinical examination of the adolescents. Caries experience was assessed using the decayed, missing and filled teeth index. Oral hygiene was determined using the Simplified Oral Hygiene Index and the Visible Plaque Index. RESULTS: When the oral hygiene variables were used alone in the multiple models, significant associations with dental caries were found. When Simplified Oral Hygiene Index and/or Plaque Index were used together with toothbrushing frequency in the same model, only the latter was significantly associated with dental caries. A significant association was also found between self-reported toothbrushing frequency and the clinical indices. CONCLUSION: Based on the present findings, self-reported toothbrushing frequency can be used as a proxy measure for clinical oral hygiene indices, which facilitates data collection in epidemiological studies addressing dental caries in adolescents.
Subject(s)
Dental Caries/diagnosis , Health Status Indicators , Oral Hygiene/standards , Surveys and Questionnaires , Toothbrushing/statistics & numerical data , Adolescent , Brazil/epidemiology , Child , Cross-Sectional Studies , Dental Caries/epidemiology , Dental Caries/microbiology , Epidemiologic Studies , Female , Humans , Lactobacillus/isolation & purification , Male , Oral Hygiene/methods , Poisson Distribution , Regression Analysis , Reproducibility of Results , Saliva/microbiology , Schools , Streptococcus mutans/isolation & purification , Students/statistics & numerical data , Toothbrushing/methodsABSTRACT
This study was conducted to assess oral health-related quality of life (OHRQoL) among Brazilian dental students. A cross-sectional study was carried out involving 300 dental students at the Federal University of Parana, Brazil. To measure OHRQoL, the Oral Health Impact Profile (OHIP-14) was self-administered and a questionnaire was filled out addressing socio-demographic characteristics, health-related aspects and dental experience. Descriptive analysis was performed and both univariate and multivariate Poisson regression with robust variance were used to determine associations between OHRQoL and the covariables. The prevalence of reported impact on OHRQoL was 45 percent. The mean OHIP-14 score was 4.5. In the univariate analysis, the reason for the last visit to the dentist (p = 0.004), reported discomfort in teeth/mouth (p < 0.001) and both self-rated general (p = 0.011) and oral (p < 0.001) health were significantly associated with OHRQoL. The year of academic education was not associated with OHRQoL (p = 0.712). In the multivariate model, students who reported dissatisfaction with their teeth (PR = 1.32; IC 95%: 1.01-1.73), dental pain/sensitivity (PR = 2.36; IC 95%: 1.63-3.40), esthetic dental problems (PR = 1.45; IC 95%: 1.10-1.89), restorative needs (PR = 1.60; IC 95%: 1.01-2.55) and whose last visit to the dentist was for curative treatment (PR = 1.36; IC 95%: 1.05-1.76) had greater impact on OHRQoL. Aspects related to previous dental experience and self-reported oral health problems were associated with OHRQoL.
Subject(s)
Oral Health , Quality of Life , Students, Dental , Brazil , Cross-Sectional Studies , Female , Humans , Male , Surveys and Questionnaires , Young AdultABSTRACT
This study was conducted to assess oral health-related quality oflife (OHRQoL) among Brazilian dental students. A cross-section-al study was carried out involving 300 dental students at theFederal University of Parana, Brazil. To measure OHRQoL, theOral Health Impact Profile (OHIP-14) was self-administered anda questionnaire was filled out addressing socio-demographiccharacteristics, health-related aspects and dental experience.Descriptive analysis was performed and both univariate and mul-tivariate Poisson regression with robust variance were used todetermine associations between OHRQoL and the covariables.The prevalence of reported impact on OHRQoL was 45 percent.The mean OHIP-14 score was 4.5...
Este estudo teve como objetivo avaliar a qualidade de vidarelacionada à saúde bucal (QVRSB) entre estudantesbrasileiros de odontologia. Um estudo transversal foi realiza-do com 300 estudantes de odontologia da UniversidadeFederal do Paraná, Brasil. Para avaliar a QVRSB, o OralHealth Impact Profile (OHIP-14) foi auto-aplicado juntamentecom um formulário abordando características sócio-demográ-ficas, aspectos relacionados com a saúde e experiênciaodontológica. Foram realizadas análise descritiva, regressãode Poisson univariada e múltipla, com variância robusta, paraverificar possíveis associações entre as covariáveis e aQVRSB. A prevalência de impactos relatados na QVRSB foi de45 por cento...
Subject(s)
Humans , Male , Adult , Female , Oral Health , Quality of Life , Students, Dental , Brazil , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
This study was conducted to assess oral health-related quality of life (OHRQoL) among Brazilian dental students. A cross-sectional study was carried out involving 300 dental students at the Federal University of Parana, Brazil. To measure OHRQoL, the Oral Health Impact Profile (OHIP-14) was self-administered and a questionnaire was filled out addressing socio-demographic characteristics, health-related aspects and dental experience. Descriptive analysis was performed and both univariate and multivariate Poisson regression with robust variance were used to determine associations between OHRQoL and the covariables. The prevalence of reported impact on OHRQoL was 45 percent. The mean OHIP-14 score was 4.5. In the univariate analysis, the reason for the last visit to the dentist (p = 0.004), reported discomfort in teeth/mouth (p < 0.001) and both self-rated general (p = 0.011) and oral (p < 0.001) health were significantly associated with OHRQoL. The year of academic education was not associated with OHRQoL (p = 0.712). In the multivariate model, students who reported dissatisfaction with their teeth (PR = 1.32; IC 95
: 1.01-1.73), dental pain/sensitivity (PR = 2.36; IC 95
: 1.63-3.40), esthetic dental problems (PR = 1.45; IC 95
: 1.10-1.89), restorative needs (PR = 1.60; IC 95
: 1.01-2.55) and whose last visit to the dentist was for curative treatment (PR = 1.36; IC 95
: 1.05-1.76) had greater impact on OHRQoL. Aspects related to previous dental experience and self-reported oral health problems were associated with OHRQoL.
Subject(s)
Oral Health , Quality of Life , Students, Dental , Brazil , Cross-Sectional Studies , Female , Humans , Male , Surveys and Questionnaires , Young AdultABSTRACT
This study was conducted to assess oral health-related quality oflife (OHRQoL) among Brazilian dental students. A cross-section-al study was carried out involving 300 dental students at theFederal University of Parana, Brazil. To measure OHRQoL, theOral Health Impact Profile (OHIP-14) was self-administered anda questionnaire was filled out addressing socio-demographiccharacteristics, health-related aspects and dental experience.Descriptive analysis was performed and both univariate and mul-tivariate Poisson regression with robust variance were used todetermine associations between OHRQoL and the covariables.The prevalence of reported impact on OHRQoL was 45 percent.The mean OHIP-14 score was 4.5...(AU)
Este estudo teve como objetivo avaliar a qualidade de vidarelacionada O saúde bucal (QVRSB) entre estudantesbrasileiros de odontologia. Um estudo transversal foi realiza-do com 300 estudantes de odontologia da UniversidadeFederal do Paraná, Brasil. Para avaliar a QVRSB, o OralHealth Impact Profile (OHIP-14) foi auto-aplicado juntamentecom um formulário abordando características sócio-demográ-ficas, aspectos relacionados com a saúde e experiÛnciaodontológica. Foram realizadas análise descritiva, regressÒode Poisson univariada e múltipla, com variÔncia robusta, paraverificar possíveis associaþ§es entre as covariáveis e aQVRSB. A prevalÛncia de impactos relatados na QVRSB foi de45 por cento...(AU)
